Active NPI
Alejandra Bustamante, BCBA
- Behavior Analyst
- Buena Park, CA
National Provider Identifier
1245764166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24087
- Practice address
- 8302 Commonwealth Ave Apt 8
Buena Park, CA 90621-4127 - Phone
- (714) 366-5421
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24087 | CA | Primary |
Addresses
Primary practice location
8302 Commonwealth Ave Apt 8
Buena Park, CA 90621-4127
Mailing address
8302 Commonwealth Ave Apt 8
Buena Park, CA 90621-4127
Phone (714) 366-5421
Other practice location 1
3125 Red Hill Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 881-0427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1245764166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 COMMONWEALTH AVE APT 8",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906214127",
"telephone_number": "714-366-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 COMMONWEALTH AVE APT 8",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906214127",
"telephone_number": "714-366-5421"
}
],
"practiceLocations": [
{
"address_1": "3125 Red Hill Ave",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "92626",
"country_code": "US",
"telephone_number": "714-881-0427",
"fax_number": "714-327-0673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSTAMANTE",
"first_name": "ALEJANDRA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-24087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.